Understanding Chronic Care Needs: Global Research Supports Home Care Franchise Model

Today’s post reviews the study by Schoen et al (2009) to show two ways that global research supports the growth of the home care franchise model.

Introduction: Ethos and Hypotheses 

In their 2008 study, researchers Schoen, Osborn, How, Doty, and Peugh (2009) surveyed levels of chronic illness in the United States. These levels were then compared with statistics from seven other countries in hopes of finding a negative correlation between poor outcomes and care access/efficiency. In other words, researchers wanted to see how the efficacy of senior support services helped our seniors; in theory, better access to home care franchise should lead to fewer negative outcomes. In this case, their hypothesis was correct – but that’s not all we can learn from this study.

In the course of their research, Schoen et al (2009) conducted a meta-analysis of current literature on senior care and population growth, and it reveals a number of findings in support of home care franchise model expansion.

1) Longer lifespans are putting new demands on our medical system. Home care franchises can help. 

First, Schoen et al. (2009) underscored the senior population boom and discussed the implications this posed for the home care industry. All eight countries involved in the study enjoyed access to cutting-edge medical technology, which was linked to longer life spans.

And yet, while lifespans increase, so too does the prevalence and effect of chronic disease, something that our medical system was not initially designed to accommodate. In fact, most medical care was created to treat “acute, episodic illness”; doctors worked towards cures, rather than preventing complications or deterioration for incurable chronic conditions (Schoen et al., 2009, p. 1).

Medical systems around the world adapted admirably to these new demands, but the solutions were imperfect. With no medical centers offering comprehensive chronic care services, chronic illness sufferers were often forced to travel to multiple care sites to see specialists, which only increased the risks of accident, injury, or mistakes with care coordination.

In the course of their research, Schoen et al. (2009) identified improved access to home care services as being one of the most important factors influencing the care outcome. Not only do home care franchises like ours offer comprehensive care under one roof – whether it’s your own or that of an assisted living center – we also transport clients to medical appointments. In doing so, we ensure that your loved one always has an assistant, advocate, and familiar face by their side, which allows us to improve care coordination and keep your family member safe and comfortable.

2) Relatively high costs of care services may limit access for some seniors. Executive Care can help. 

Schoen et al. (2009) found that the cost of care for Americans was highest out of the eight participating countries, measured at roughly $7000 per capita (p. 2). Many survey respondents described their experiences seeking care for loved ones as being frustrating, and more than 40% indicated that they spent over $1,000 out-of-pocket on care last year (p. 2-3). In terms of poor access to healthcare, these financial and insurance barriers were the most difficult to overcome, and most strongly connected to poor health outcomes for chronic illness sufferers.

Our home care franchise model is built to make a difference. Though our home care franchise are independently owned and operated, Executive Care never locks clients into a contract, and won’t charge any additional costs or fees. Moreover, Long Term Care insurance policies often cover the costs of our care services, as will Medicaid. We also work with auto accident insurance, Worker’s Compensation Insurance, Veterans Affairs, and a number of religious and social service organizations. At the end of the day, our mission is to bring qualified senior care to the greatest number of people, which means healthier communities, and more money and satisfaction for our franchisees. 

Learn more about our home care franchise at https://executivehomecarefranchise.com. 


Schoen, C., Osborn, R., How, S. K., Doty, M. M., & Peugh, J. (2009). In chronic condition: experiences of patients with complex health care needs, in eight countries, 2008. Health affairs, 28(1), 1-16.

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